Resources for Eye Care, Exams, and Glasses: How to See More and Pay Less

By Marie Tetsu and Kira Wang

Cost can sometimes be a barrier to proper eye care, but a variety of programs offer free or low-cost eye exams and other resources. Are you eligible? 

Most people rely on their sight every day, making eye care essential to our health. For people with diabetes, annual dilated eye exams are especially necessary to catch early signs of eye disease. But eye care can be expensive: adults with diabetes report that associated cost or a lack of insurance are some of the main reasons for not receiving eye care in the past year. While cost may prohibit people with diabetes from getting vital care, there are many programs that offer free or low-cost eye exams and glasses. Given the added financial burdens that so many people are facing as a result of COVID-19, we’ve built a list of resources designed to help people with diabetes and support those experiencing vision loss.

Note: to qualify for many of these resources, you or your family will need to meet certain criteria. Each organization has different requirements – which we’ve done our best to lay out – but be sure to check each website!

1. EyeCare America

EyeCare America offers medical eye exams to qualifying people in the United States, often with no out-of-pocket cost. Two main programs are included in EyeCare America: the Seniors Program and the Glaucoma Program.

  • The Seniors Program connects people over the age of 65 with volunteer ophthalmologists in their area who provide free eye exams, and it offers up to one year of follow-up care for any diagnosed conditions. To qualify, you must:
    • Be a US citizen or legal resident
    • Not belong to a health maintenance organization (HMO) insurance plan or have Veterans Affairs (VA) eye care benefits
    • Not have received an eye exam by an ophthalmologist in the last three years
  • The Glaucoma Program provides a free glaucoma exam to qualifying people who are uninsured. If you have insurance you may still request an appointment through the program but will be responsible for any co-payments. To qualify, you must:
    • Be a US citizen or legal resident
    • Neither belong to an HMO nor have VA eye care benefits
    • Not have had an eye exam in the last 12 months
    • Be at an increased risk for glaucoma, which is true if you have diabetes, have a family history of glaucoma, are African American and over the age of 50, or are Hispanic and over the age of 65

Regardless of insurance coverage or income level, anyone can use the EyeCare America Drug Discount Card in English or Spanish. Unfortunately, EyeCare America does not cover eyeglasses or services such as surgical operations.

2. Lions Club International

Lions Club International provides access to eye care and assistance with purchasing glasses for people who are considered low income. The non-profit also offers classes and services for those who are blind or have limited vision. Lions Club presents many of these vision programs through OneSight eye care centers located across the US and around the world. Lions Club International also provides a limited number of vouchers for free glasses, and offers mobile eye care services to children. You can find your local Lions Club here.

3. VSP Eyes of Hope

Eyes of Hope through VSP Global provides eye care and gift certificates for eyeglasses to children, adults, and people affected by disaster. Unfortunately, because of COVID-19, the distribution of new certificates is currently paused.

  • For children: Sight for Students gift certificates provide free eye care and prescription glasses from a local optometrist to people under the age of 19. To qualify, children must have a family income at or below twice the Federal Poverty Level for their family size, and cannot have received care through VSP in the last 12 months. To acquire a gift certificate, parents can find a local partner here.
  • For adults: Adults who make less than twice the Federal Poverty Level and have not received care from a VSP program in the past year are eligible for vouchers. Mobile Eye Care Clinics are also available to people but are suspended until 2021 due to COVID-19.
  • For people affected by disaster: If you have been affected by a natural disaster (like fire, hurricane, tornado, or flooding), are in need of eyeglasses or eye care, and do not have vision insurance, you can qualify for a VSP gift certificate. Contact your local American Red Cross chapter.

4. Medicare

Medicare Part B covers an annual dilated eye exam for people over the age of 65 with diabetes. Dilated eye exams are extremely important for monitoring vision in people with diabetes. Medicare does not provide free routine eye exams or eyeglasses. Under Medicare, you’ll pay 20% of the Medicare-approved amount and the Part B deductible. If you are receiving care in a hospital outpatient setting, a co-payment is also required.

5. OneSight

OneSight is an independent non-profit that provides eye exams and glasses to people, and establishes permanent vision centers around the US. People can take a free online vision exam here. While this online exam does not replace an in-person visit with an eye care professional, it can provide useful information about your sight.

6. New Eyes

New Eyes offers prescription eyeglasses to children and adults who are at or below 2.5 times the Federal Poverty guidelines. You can sign up with the help of a clinician or social worker and use vouchers on the New Eyes website.To qualify, you’ll need to meet the financial requirements, have had an eye exam within the last two years, and not have received other charitable or government resources to pay for eyeglasses. People financially affected by COVID-19 can apply directly here (without the help of a social worker or other health advocate).

7. Mission Cataract

Mission Cataract USA offers free cataract surgeries one day a year to people of all ages who have no insurance and don’t qualify for Medicare, Medicaid, or other forms of government support. Cataracts cause the lens in your eye tobecome cloudy, and your vision may become blurred or less vibrant. Aging is the most common cause of cataracts, however, people with diabetes have a higher risk of developing cataracts.

8. Operation Sight

Operation Sight is another group that provides free cataract surgery to US citizens and permanent residents. To qualify, you must be at or below twice the Federal Poverty Level, and uninsured or underinsured (this would indicate that your insurance does not cover cataract surgery). If you receive Medicare Part B you will not be eligible. You must also have a formal cataract diagnosis. Fill out this form to find out if you qualify.

9. Support Groups for Vision Loss

If your vision, or that of a family member’s, has been harmed by diabetes-related eye disease or other causes, you might consider joining a vision loss support group. VisionAware helps adults adjust to life with vision loss. Whether in-person or online, support groups can offer a space to share your stories and concerns, and it is a space to learn from others with similar experiences. Check out VisionAware’s featured support groups here and find your local chapter.

Learn more about the risks diabetes poses to eye health in our recent article, “Seeking Healthy Vision: Eight Strategies For Caring for Eyes.” If you meet the qualifications of any of the programs we’ve listed, make sure to inquire and apply. Prioritize your vision and keep your eyes as healthy as possible for a long lifetime of use!

About Marie
Marie Tetsu is a rising senior at the College Preparatory School in Oakland, California. She is an eye-care enthusiast, and has been wearing prescription eyeglasses for the past ten years. In college, Marie plans to double major in English and Biochemistry on the pre-med track.  

About Kira

Kira Wang graduated summa cum laude and Phi Beta Kappa from Duke University with a degree in psychology and minors in biology and chemistry. At Duke, she wrote a senior thesis on the coping strategies of parents and youths with chronic illness and spent over two and a half years researching retinal imaging techniques in the Duke Eye Center. She’s currently taking a gap year and plans to go to medical school.

Source: diabetesdaily.com

Watch Type 1 Diabetes on Netflix

This content originally appeared on Beyond Type 1. Republished with permission.

By Alexi Melvin

If you’ve browsed Netflix in the last couple of weeks – as I’m sure the majority of us have throughout shelter in place – you may have stumbled on a few representations of type 1 diabetes in major Netflix shows.

The double-whammy of type 1 diabetes (T1D) related content is thanks to Netflix having released both “The Baby-Sitters Club” and “Say I Do” only two days apart from each other.

Usually, when we know diabetes has been represented in a show or movie, the collective “oh no, what did they say about it this time?” sinks in. However, these shows did a pretty decent job. In “Say I Do,” a wedding reality show, the groom with T1D was able to tell his own diabetes story in a way we’ve not often seen done. It was refreshing. In “The Baby-Sitters Club,” the beloved character with diabetes from the book series has an entire episode dedicated to her experience. It’s not a perfect representation, but it is more screen-time for diabetes than we normally see.

The Baby-Sitters Club

This Netflix reboot – released on July 3rd – of the beloved book series, turned TV series, turned 1995 film of the same name is a more modern take, but for the most part stays true to the original characters. One of these familiar characters is Stacey, a new member of the BSC and New York City transplant.

In episode 3 of the season, “The Truth About Stacey,” Stacey’s “secret” is finally revealed. She has type 1 diabetes.

Not to go too deep into spoilers, but let’s just say that Stacey (and her mother, in part) has felt a lot of shame in the past about her T1D and is hesitant to reveal it to her new group of friends. Her competency and safety as a babysitter is questioned as a result of the revelation, but luckily it’s not a spoiler to say this matter is resolved, since The Baby-Sitters Club wouldn’t be what it is without Stacey.

The show gets a few things wrong but don’t worry – it all wraps up with a bedazzled insulin pump in full view.

Say I Do

Released on July 1st, “Say I Do” has already made a name for itself as a super sweet guilty pleasure for reality show enthusiasts. Episode 1 introduces us to Marcus LaCour and his wife, Tiffany, whose first wedding years prior was an epic disaster. Now, they’re given a chance at doing it over again, having the real wedding they always hoped for.

Marcus is immediately transparent with the show’s three hosts that he has type 1 diabetes, having been diagnosed at age 15. During a conversation about food for the wedding’s reception, Marcus goes into detail about his diagnosis and T1D management today. He shares details like temporarily losing his sight on the way to the hospital, how losing his health insurance at one point led to tough decisions for the family, and that he maintains lower-carbohydrate eating habits that help him manage his blood sugar levels.

What Was Done Well

The overarching theme within Stacey’s T1D struggles in The Baby-Sitters Club is that she has found a new support system that accepts her for everything that she is – so, why shouldn’t she accept herself too? To see a young girl dealing with a new diagnosis have such a strong team of friends that truly have her back is refreshing, and something that every person impacted by diabetes deserves.

Growing up in the 90s, the 1995 The Baby-Sitters Club film was a favorite of mine. After I was diagnosed with T1D at age 14, one of the very first things that flashed through my head was this movie’s scene when Stacey fell down in the middle of a hike because she was low. It was the only portrayal of someone having type 1 diabetes that I was even remotely familiar with.

The ’95 film version of BSC left us with way more questions than answers when it comes to what type 1 diabetes is. We knew that Stacey had something called “diabetes.” We know that her mother was very insistent that she “eat something” before her hike. And we knew that she fell down because she didn’t eat. But any further detail about insulin injections, blood sugar management, differentiation between the types of diabetes and what causes type 1 diabetes was entirely lacking.

In the Netflix reboot of BSC, we get a clearer picture of what T1D looks like. The story has been modernized, so we get an updated look at how T1D is managed with the insulin pump hooked to the front of Stacey’s waistband. We also see Stacey dive much deeper into the inner turmoil that goes along with a T1D diagnosis. Type 1 diabetes is much more visible here than we’ve seen it before in past film and TV attempts.

In “Say I Do,” Marcus takes enormous care to share his story, and the producers took equal care in spending time on his story. From Marcus, we learn what a type 1 diagnosis can mean for a family, and what it means to him personally.

Is There Still Room for Improvement?

Absolutely. There needs to be even more transparency and accuracy within our portrayals of diabetes in pop culture. There are unclear moments in episode 3 of The Baby-Sitters Club, such as Stacey’s “episode,” which appeared to be a seizure from a severe hypoglycemic event. However, it was also presented as possibly coinciding with her diabetes diagnosis, which would have meant high blood sugar and possibly diabetic ketoacidosis (DKA), as opposed to a low.

The lens with which we are meant to view a type 1 diabetes diagnosis could also have been a little less dark. I question whether Stacey’s T1D storyline perpetuates the idea that having type 1 is means for bullying or shame. Nevertheless, it ultimately morphs into a more optimistic tone.

When it comes to reality television like “Say I Do,” we need more Marcus LaCours! And we need more show showrunners and producers who take care with telling these stories well. When we think about documentary style TV, not a lot of examples come to mind of people we’ve seen that live with T1D. If they do, not a lot of time is spent on clarity around what diabetes is and means for the person living with it.

The more we all choose to use our platforms to educate others about type 1 diabetes, like Marcus did in “Say I Do”, the more stories will emerge, and the more our experience of diabetes will be normalized, better understood, and seen as just one part of a complex person or character, not just a plot device or the butt of a joke.

Source: diabetesdaily.com

What is the Gut Microbiome and How Does it Relate to Diabetes?

This content originally appeared on diaTribe. Republished with permission.

By Matthew Garza

The microbiome is an exciting area of research for diabetes management. What do we know and what questions do we still have about the microbiome?

Interest in the microbiome, and how much it may affect our bodies, has been on the rise. People often talk about the microbiome as it relates to the immune system, the digestive system, chronic diseases, and more. But what exactly is the microbiome and how does it relate to diabetes?

What is the microbiome?

The human body is made up of tiny cells. However, we also have trillions of microorganisms (called microbiota or microbes) that are found in and on our bodies. These microorganisms include bacteria, fungi, parasites, and viruses.

While “microbiome” is defined as all the genes and DNA that these microorganisms contain, people often use the word to describe the entire population of microorganisms themselves. Even more specifically, the most common use of the word microbiome is to refer to the population of microbes that live in your gut (including your stomach and digestive tract) where the largest concentration of these microbiota can be found. While most of the microbes in the body are symbiotic (which means that both the human and the microbes benefit from the relationship), some are pathogenic, meaning that they promote diseases. In healthy individuals there is a balance between the microbes and the human host cells. If there is a major disturbance – for example, an infectious disease, the introduction of a bacteria-destroying medicine like antibiotics, or even a new diet – it can lead to the system becoming unbalanced.

Your microbiome is entirely unique to you and is determined by a number of factors including:

  • Your DNA
  • Your diet
  • Your level of activity (exercise)
  • Environmental factors – a person’s microbiome can change based on exposure (for example, to new foods or medications).

How do the microbes that make up the microbiome affect the body?

The human body needs a healthy and diverse microbiome to properly function. Our microbiomes are essential for human development, work closely with the immune system, are vital for nutrition, and even regulate how sensitive we are to insulin.

The microbiome interacts with the immune system frequently. The immune system includes all of the cells and processes in our body that fight and protect us from harmful bacteria, viruses, and disease. When germs enter the body through food or drinks, the gut microbiome plays a role in making sure we do not get sick. The microbiome also helps make vitamins and molecules that our body needs, such as B vitamins including thiamine and riboflavin, and vitamin K, among others. Microbes help break down harmful food molecules and complex carbohydrates so that the body can use the products for nutrition, muscle function, and the prevention of certain chronic diseases.

Humans share about 99.9% of their DNA (genetic material) with other humans. However, most human microbiomes are 80-90% different from person-to-person. This means that differences within the microbiome may be used for personal medicine. People respond to treatments differently for a variety of reasons, and personal medicine is a new concept for treating diabetes. If doctors know more information about the genetic makeup, or in this case the unique microbiome, of a person with diabetes, they may be able to use specific strategies for preventing, detecting, treating, or monitoring that individual’s diabetes.

How does the microbiome relate to diabetes?

Knowledge of the microbiome is limited given its relatively recent discovery. We are learning new things about the microbiome and how it relates to specific diseases, such as diabetes, every day. However, here are some of the discoveries and hypotheses being made related to the microbiome and diabetes.

For type 1 diabetes (T1D), the relationship between diabetes diagnosis and changes in the microbiome is not yet fully understood. Two studies (found here and here) highlight some of the key findings in this research:

  • People with T1D have less variety in the types of microorganisms in their microbiome.
  • Certain types of bacteria are more prevalent in people with T1D than those without – usually this means there is a smaller population of beneficial microorganisms.
  • Drastic changes in the gut microbiome could lead to a greater chance of inflammation in people with T1D. T1D is partially caused by inflammation of the cells in the pancreas where insulin is produced. Inflammation occurs when something damages your body’s cells and the immune system releases chemicals that increase blood flow and support to that area.

Similar to T1D, for type 2 diabetes (T2D) there is a lot of new research in the field, but much is still unknown. This paper summarizes many major findings:

  • Certain species of gut bacteria such as A. muciniphila can affect gut permeability, and increased gut permeability is often observed in people with T2D. Some bacteria could help decrease leaks in the gut by creating more tight junctions in our cells or by stopping the destruction of the mucin layer, a thin layer which lies on top of the inner lining of the gut. Tight junctions are small proteins between cells in the gut which prevent particles from leaking in or out.
  • Some microbes can influence blood glucose levels and control the digestion of sugars, e.g. bacteria which produce butyrate from the digestion of dietary fiber. Butyrate is a fatty acid that plays a role in homeostasis and metabolism.
  • Some microbes may affect the production and release of gut hormones, which is also highly influenced by butyrate. It has been shown that insulin sensitivity may be influenced by particular microbes.

What can you do to support the health of your microbiome?

There are a number of things you can do which have been shown to support the health of the microbiome. Here are some proactive steps you can take:

  • eating fiber (digestible and nondigestible carbs, like asparagus, onions, garlic, and chicory)
  • reducing the amount of sugars and artificial sweeteners you eat
  • avoiding taking antibiotics when not medically necessary, since this can damage your gut bacteria
  • eating plenty of fruits and vegetables

Other strategies for staying healthy also strengthen the microbiome and the immune system. These include:

  • reducing stress
  • exercising
  • getting good, quality sleep
  • not smoking at all

There are countless groups doing valuable research on the microbiome and its relationship to diabetes; however, so much is still unknown. We look forward to learning more about how to strengthen our microbiomes to keep them healthy and properly functioning.

Source: diabetesdaily.com

Sinigang Na Hipon – Filipino Soup

This content originally appeared on Low Carb Yum. Republished with permission.

Imagine fresh, delicious shrimp in a broth that is savory, sweet, and sour all at once. No wonder it’s such a popular dish.

Traditional sinigang is served over a bed of white rice. For this recipe, I wanted to create a low carb version without the rice.

The soup is incredible all on its own. And it’s so easy to make! Everything comes together in one pot, and you simply add the ingredients and boil until they’re ready.

What Is Sinigang Soup?

Sinigang soup is a type of Filipino soup that is sour and savory. Sinigang (pronounced ‘see-Nee-Gangh’) is typically made with either pork (usually ribs), beef, chicken, shrimp, or fish.

Na Hipon, which means shrimp, is just one version of the Filipino soup.

Most sinigang soups feature a tamarind broth to achieve the characteristic flavor.

sinigang na hipon

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Sinigang Na Hipon Shrimp Filipino Soup

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This easy shrimp soup recipe is low-carb, gluten-free, and delicious! It features whole shrimp in a tamarind broth.
Course Soup
Cuisine Filipino
Keyword Shrimp
Prep Time 10 minutes
Cook Time 20 minutes
Total Time 30 minutes
Servings 8 people
Calories 160kcal

Ingredients

  • 2 pounds large shrimp shells tails, heads intact
  • 1 piece green tomato quartered
  • 3 pieces ripe tomatoes quartered
  • 1/2 cup yellow onion quartered
  • 1 piece daikon radish sliced
  • 5 ounces green beans bite sized cuts
  • 3.5 ounces okra small
  • 14 ounces spinach fresh
  • 3 pieces green chili peppers
  • 1 tablespoon fish sauce or to taste
  • 1 packet tamarind soup mix 40 Grams
  • 2 to 3 cups water

Instructions

  • Properly wash shrimps with cold running water. Pat dry. Opt to season with salt.
  • In a casserole or deep large pan, add ¼ cup water, tomatoes and onions. Sauté until onions are translucent. Add the remaining water and bring to a boil.
  • Once water has boiled, slowly add okra, radish, green beans and sprinkle tamarind soup mix. Continue to boil for 5 to 7 minutes or until vegetables start to soften.
  • Add the shrimps to the boiling broth, make sure they are all submerged in broth. Cover and boil for 5 to 8 minutes or until each shrimp turned golden orange in color. Do not overcook shrimps. Turn off heat and add spinach. Cover. Allow spinach to wilt before serving.

Notes

  • 2 to 3 cups water – Usually, rice washing is used instead of water.
  • Properly wash shrimps with cold running water. Pat dry. Opt to season with salt. – Some would season shrimps with salt, I don’t.
  • Once water has boiled, slowly add Okra, radish, green beans and continue to boil for 5 to 7 minutes. Add the shrimp, make sure they are all submerged in broth. Cover and boil for 5 to 8 minutes or until each shrimp turned golden orange in color. – Some heads of shrimps are black – they are cooked but the hepatopancreas differs in color when raw and cooked due to their diet (based on what I read).
  • I used an 11-inch deep pan and had to transfer the vegetables to another container while batch boiling the shrimps to make sure they are cooked properly.
  • Filipinos love to pair sinigang with lots of white rice.
  • Fish sauce (to taste) – Only added 1 tablespoon.
  • There is a small amount of sugar in the soup mix, but the amount of carbs in a serving shouldn’t be enough to impact. A tamarind paste and additional seasonings can be used instead.

Nutrition

Calories: 160kcal | Carbohydrates: 10g | Protein: 26g | Fat: 2g | Saturated Fat: 1g | Cholesterol: 286mg | Sodium: 1925mg | Potassium: 590mg | Fiber: 5g | Sugar: 3g | Vitamin A: 4962IU | Vitamin C: 37mg | Calcium: 248mg | Iron: 4mg


Please note that the nutritional information may vary depending
on the specific brands of products used. We encourage everyone to check specific
product labels in calculating the exact nutritional information.

Sinigang Na Hipon – Filipino Soup Recipe

Source: diabetesdaily.com

Summer Is Here: Are You Still Safer at Home?

This content originally appeared on Beyond Type 1. Republished with permission.

By Julia Flaherty

States and regions across America are slowly reopening, which means social distancing guidelines have become a bit fuzzy. However, the same principles apply to ensure you are best protecting yourself and others. COVID-19 is still a threat and will remain so until we have a widespread vaccine.

It’s important to remember that whether or not you’d like to slowly emerge back into society is your choice. You can absolutely still stay at home if that makes you feel safest and you are able to. But as more businesses and workplaces reopen, you may not have that choice.

It is also completely understandable that, after months inside, you’re ready to begin weighing the risks of certain activities to maintain other physical, mental, and emotional health needs. Both mentalities are okay. But if you plan to re-emerge or have to, there are important guidelines to keep in mind.

Know Your Risks

Public Gatherings

To remain cautious, keep your social circles small. Continue to limit your interactions to the people you live with, and be mindful of any emerging illnesses among your household members. If someone in your household does get sick, the CDC advises quarantining any ill family members in a specific room of your house (if they do not have to be monitored in a medical facility) to keep everyone safe from the spread.

Experts have outlined the risk factors of certain summer activities. While hosting an outdoor barbecue in your backyard with one other household is low to medium risk, going to a beach or pool among strangers is medium to high. Experts also say eating indoors at a restaurant is medium to high risk.

There are still many safety benefits of engaging with friends and family via virtual chats, ordering takeout instead of sitting down at venues (meanwhile supporting your local economy), and enjoying the great outdoors. Experts rate exercising outdoors and camping as low-risk summer activities.

Hygiene

Keep your hands and face (eyes, nose, mouth) clean. The CDC continues to advise washing your hands after treating someone who is sick, eating, preparing food, using the bathroom, tending to a wound or sore, touching pet litter, food, or treats, touching the garbage, interacting with out-of-home surfaces, and so on. Wet your hands with clean running water each time you wash them, and lather your hands, covering all areas of them, for at least 20 seconds. Dry them well using a clean hand towel each time.

Hand sanitizer with at least a 60% alcohol volume is good to use in the interim if you do not have immediate access to soap and water, but the best method is still washing your hands, as hand sanitizer doesn’t eradicate all types of germs. Be mindful of this standard amid all of your summer activities to stay safe.

Regularly launder your clothes and shower. Cough or sneeze into a tissue or your clothing, and then throw away your tissue or change your clothing. When cleaning, use an EPA-approved disinfecting product. Frequently clean high-touch surfaces.

Masks

Though many of us are growing eager to be close to friends and family again, suffering from lockdown burnout and fatigue, it’s still important to remember that masks do not replace the six feet apart social distancing rule. If you are slowly working on re-emerging, keep in mind that not everyone will practice mask safety in a compliant fashion, which puts you at risk.

Some do not know how to wear masks properly, while others still do not have access to compliant masks, and some may choose not to wear a mask at all. To ensure your safety, continue to wear a mask in public settings, such as the grocery store or your workplace if you are returning, and keep staying six feet apart. Experts have commented there are no known grocery store linked cases, indicating that grocery store shopping remains a low risk so long as you follow social distancing guidelines.

Source: diabetesdaily.com

Are CGM Users Aware of Time in Range?

This content originally appeared on diaTribe. Republished with permission.

By Eliza Skoler and Rebecca Gowen

dQ&A surveyed 2,540 CGM users with type 1 or type 2 diabetes to find out how aware they are of their own time in range: 87% of respondents knew how much time they spend in range daily

Time in range is the percentage of time that a person spends in their target blood glucose range (70-180 mg/dl). This measurement of diabetes management along with time below range and time above range helps people assess patterns and trends throughout the day to inform daily treatment decisions in a way that A1C cannot. It is also becoming more well-known and accepted in the world of diabetes as a good indicator of diabetes management.

dQ&A, a market research company, wanted to measure people’s awareness of their own time in range. They surveyed 2,540 people with type 1 or type 2 diabetes who use continuous glucose monitors (CGM). The following question was posed to respondents: “Do you know roughly what percentage of your day (on average) you typically spend with your blood sugar between 70-180 mg/dl?” For those people who answered yes, dQ&A then asked them what percentage of time they typically spend in the target range (70-180 mg/dl) each day. It is important to note that the majority of people included in this survey were White, had type 1 diabetes, and were using an insulin pump.

Important survey results included:

  • 87% of all respondents knew roughly how much time they spent in range each day, while 13% did not. These results were generally consistent across several factors including people with type 1 and type 2 diabetes, adults and children, and people with type 2 diabetes who were or were not taking insulin.
  • 29% of respondents reported that they typically spend 71-80% of their day in range. 30% of the people surveyed reported a time in range above 80% while 41% of respondents reported a time in range lower than 71%.
  • People with type 2 diabetes who are not taking insulin are significantly more likely to report spending 91-100% of their day in range (36%), compared to adults with type 1 diabetes or people with type 2 diabetes on insulin (9% and 11%, respectively).
  • Time in range was higher in older age groups. The group with the lowest self-reported time in range was people under the age of 18: only 44% of people 18 years or younger spent more than 70% of the day in range, compared to 56% of people ages 18-44, 62% of people ages 45-65, and 68% of people over the age of 65.

Our takeaways from this data:

  • Among people who use CGM, the majority acknowledge time in range as a measurement of their glucose control. However, we believe more people can be educated on how to understand and act on their time in range data.
  • The majority of people with type 1 and type 2 diabetes report achieving the  time in range target of more than 70% and this was particularly true for those in older age groups.
  • An important focus should be placed on helping young people find strategies to improve their time in range and incorporate it into their self-management.

To learn more about time in range click here.

Source: diabetesdaily.com

Garlic Cream Cheese and Spinach Roasted Mini Sweet Peppers

This content originally appeared on TCOYD: Taking Control of Your Diabetes. Republished with permission.

No big games to watch on TV? No problem! These garlic cream cheese & spinach stuffed peppers are the perfect “game day” app for your next competitive home isolation game of Monopoly.

Garlic Cream Cheese & Spinach Roasted Mini Sweet Peppers

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Garlic Cream Cheese & Spinach Roasted Mini Sweet Peppers

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The perfect blend of savory and slightly sweet, these charred garlic cream cheese & spinach stuffed peppers are delicious appetizers!
Course Appetizer
Cuisine American
Prep Time 10 minutes
Cook Time 20 minutes
Total Time 30 minutes
Servings 16 halves
Calories 21kcal

Ingredients

  • 8 mini sweet peppers
  • 8 oz cream cheese
  • 1/2 cup green onion finely chopped (reserve a few pinches)
  • 2 tbsp garlic minced (or to taste)
  • 1 cup frozen spinach thawed, excess moisture removed, you can also finely chop fresh spinach
  • 2 tbsp cooking oil

Instructions

Prep Work

  • Let cream cheese soften at room temperature for 30-60 minutes.
  • If using frozen spinach, thaw at room temperature or in a skillet at low heat for a few minutes (according to package directions). Once thawed, place ~1 cup or a generous handful into a clean kitchen towel or paper towel, and wring out excess water over the sink. If using fresh spinach, finely chop ~1 cup.

Directions

  • Slice the cap off of each mini pepper and remove the inner core/seeds. Cut lengthwise.
  • Heat oil in a stove top pan. Lay each pepper-half skin side down and cook on med-high heat for a few minutes, until you get some charred marks.
  • While the peppers are cooking, add spinach, garlic, and all but a few pinches of the green onion to the cream cheese and mix well.
  • Remove the peppers from pan onto a cutting board and let cool just enough to be handled.
  • Use a spoon to scoop about 1 teaspoon of the cream cheese filling into each pepper-half.
  • Place the peppers in an oven safe dish and broil for 5 minutes.
  • Garnish with reserved chopped green onion.

Notes

I did mix the entire 8 oz block of cream cheese with the garlic, spinach, and green onion, and about half remained when I prepared only 8 mini peppers (16 halves). You could either double the peppers, or use the cream cheese mixture for something else (bagel, toast, sandwich spread, on top of salmon, cucumber bites, baked potato, pasta dish, roasted veggies, etc.). You could also get creative adding in any spices you prefer.

Nutrition

Calories: 21kcal | Carbohydrates: 1.5g | Protein: 1g | Fat: 1g


Please note that the nutritional information may vary depending
on the specific brands of products used. We encourage everyone to check specific
product labels in calculating the exact nutritional information.

Garlic Cream Cheese and Spinach Roasted Mini Sweet Peppers Recipe

Source: diabetesdaily.com

Type 1 Diabetes: Advocacy 101

This content originally appeared on Beyond Type 1. Republished with permission.

By Katie Doyle

If one of your resolutions for 2018 was to learn more about getting involved in advocacy, be a more effective advocate or support advocacy groups, we have a story that will get you motivated! Check out this profile for some advo inspo:

Advocacy

Image source: Beyond Type 1

Cameron Keighron, a student at National University of Ireland (NUI) Galway, is making strides in his community by standing up for his LGBT peers and people with disabilities. You may recognize Cameron’s name from our 2017 story about an NUI Galway research team’s D1 now study on the relationships young adults with type 1 have with their healthcare teams — Cameron is a member of the Young Adult Panel that advises the D1 now study. We recently picked his brain to find out what it takes for those of us looking to dive into a certain project or be a more active participant in our communities.

Become the Advocate You Need

“I was the first and only type 1 diabetic diagnosed in my family and was thrust into a world of complete confusion,” said Cameron, who was diagnosed when he was 16. “As is so common with my generation, I took to the internet to find some sort of support with this transition in my life. I found a group on a diabetes forum that would become my support group for the next number of years, juggling my diabetes with high school, university and much more.”

Cameron’s positive experience with the diabetes online community inspired him to give back when he found himself in a position to do so. “Before going to university, I asked to switch to insulin pump therapy. I became somewhat of a support for people I had met online for pump issues and transitioning from childhood to adulthood. I became the support that I so desperately needed when I was first diagnosed.”

Recognize When the Time Is Right

Cameron is currently a graduate student completing a master in Regenerative Medicine. After joining three student societies during his undergraduate years, Cameron became a disability advocate at NUI Galway and found a calling in administering to student societies as a grad student.

“I am heavily involved in LGBT and disability activism in Galway and the wider country,” he said. “When I finished up my degree it was a natural progression, really, to move from one side of societies to the other. I had been working on the development and governing committee of societies, working hard on implementing policy changes to the way societies ran themselves. With this, I found my home within my job of policy and training development. Currently, I mentor new and existing societies through their constitutions and through the training programs we design for them.”

Think Globally, Change Locally

Like many of us with type 1, Cameron has overcome other challenges through his work in the community. “I came out as a queer trans man at 19 and have been campaigning for equal rights ever since. NUI Galway strives to be inclusive of all LGBT+ students and staff. The biggest change that I have seen is the willingness to talk about these issues, to talk about what is going wrong and how can we fix it. We recently brought in gender-neutral bathrooms for all people across campus. We strive to educate both the student and staff population on LGBT+ issues and raise awareness of how people can get involved in the campaign for equality.”

He has seen broad impacts in his work in the diabetes sphere as well: “After becoming involved with the Young Adult panel, my passion for diabetes advocacy grew, especially in my age group. I saw what wasn’t working with my care and helped develop innovative solutions in the hopes of correcting this. We were given the opportunity to help write papers, present at conferences and influence the project in every aspect of its development. Right now, I have signed on to be a part of the second phase of the project where we are hopefully to be recognised as co-researchers.”

Appreciate Every Victory

“My relationship with my diabetes team was essentially non-existent before the Young Adult panel. After joining the panel I started to build up a rapport with key members of the team. Since engaging with the group, I have found it a lot easier to engage with the team and that my own diabetes care improved.”

Cameron notes that advances in his college setting have improved his overall experience there. “When I started in NUI Galway no one really knew what “transgender” meant, no one had a way of relating to me and how I felt. I found a group of people who worked with me and on my behalf, lobbying for change and recognition, a fight still on going in many universities. For me, NUI Galway became a home, it adapted to its ever-changing demographic with provisions in place for people to change their student records and ID cards if needed.”

Keep an Eye on the Long-Term

For Cameron, advocating for any cause takes a lot of energy and focus. “In all the areas that I am involved with, in the positions that I hold, you generally get asked some inappropriate questions and it’s tough to find the fine line between answering their question with respect and without getting angry.”

“It’s also tough, I think, because as humans we surround ourselves with like minded people, that’s just who we are attracted to. So when we leave those bubbles and see that actually people in the world still have the crappy views on people it can be tough to keep motivated.”

Despite challenges, Cameron is hopeful about the future. “People with disabilities are becoming more and more visible on campuses across Ireland. They are given a voice to talk about their experiences and where we can do better.”

Source: diabetesdaily.com

FDA Approves Lyumjev – A New Rapid-Acting Mealtime Insulin

This content originally appeared on diaTribe. Republished with permission.

By Frida Velcani

Lyumjev reduces blood glucose spikes and can be taken at the beginning of a meal, or even 20 minutes into the meal; available through Lilly’s insulin affordability program

A new rapid-acting mealtime insulin has been approved by the FDA to reduce high blood sugar after meals and keep blood glucose levels in-range. The insulin is rapid-acting, meaning that it is absorbed into the bloodstream and the body more quickly. This approval provides another important mealtime insulin option for adults with type 1 or type 2 diabetes. Lilly’s Lyumjev was approved in Japan and Europe in March 2020, and the company is working to make Lyumjev available to people in the United States as quickly as possible.

Lyumjev will be offered at the same price as Humalog. Lilly will also offer Lyumjev through its newly launched Insulin Value Program, which makes the therapy available at $35 per month for people who are uninsured or have commercial insurance. The $35 cap applies regardless of the number of insulin doses required.

This approval was granted based on the results from the 2019 phase 3 PRONTO-T1D and PRONTO-T2D trials. The data showed that, compared to Humalog, Lyumjev reduced blood glucose spikes (hyperglycemia) one hour and two hours after a meal in people with type 1 and type 2 diabetes. The drug did not affect A1C reduction. In people with type 1 diabetes, Lyumjev reduced hypoglycemia four hours after meals, whereas in people with type 2 diabetes, the insulin slightly increased hypoglycemia both one to two hours and two to four hours after a meal.

Lyumjev can be taken at the beginning of a meal or 20 minutes after starting it. This flexibility is due to the faster onset and offset of the insulin. That said, it is still strongly recommended that whenever possible, people should take Lyumjev before the start of the meal.  Lyumjev by Lilly joins Fiasp by Novo Nordisk as the two faster acting insulins available giving people with diabetes more flexibility in mealtime insulin dosing.

Source: diabetesdaily.com

Peanut Butter Granola

This content originally appeared on ForGoodMeasure. Republished with permission.

I really enjoy peanut butter and I really adore history. That said, I like to think of Peanut Butter Granola as the perfect blend of my two passions. While traditional versions tend to be carb-laden & overly-sweetened, my recipe is a protein power-house relying on raw peanuts and creamy peanut butter to deliver crunch and flavor. If you ask me, it’s the perfect snack while reading up on granola’s origin & history, which I might add, dates back to the 1800s.

peanut butter granola

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Peanut Butter Granola

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This recipe is a protein power-house relying on raw peanuts and creamy peanut butter to deliver crunch and flavor.
Course Snack
Cuisine American
Keyword Peanut Butter
Prep Time 15 minutes
Cook Time 35 minutes
Total Time 50 minutes
Servings 12 1/2 cups
Calories 388kcal

Ingredients

  • 1 ½ cups unsalted almonds
  • 1 ½ cups unsalted peanuts
  • 1 cup unsweetened shredded coconut
  • ¼ cup flax seeds
  • ¼ cup vanilla protein powder
  • ½ cup peanut butter
  • ¼ cup salted butter
  • 2 tablespoons water
  • 1 tablespoon honey
  • 2 teaspoons vanilla

Instructions

  • Preheat oven to 325 degrees.
  • Line a rimmed baking sheet with parchment.
  • Rough chop almonds & peanuts either with a chef’s knife or processor. With the latter, be sure to use the pulse function, ensuring texture not dust.
  • Mix almonds, peanuts, and remaining dry ingredients in a large bowl.
  • Set aside.
  • In a small saucepan on medium-heat, melt peanut butter and butter, stirring often.
  • Remove from heat.
  • Add water, honey and vanilla to melted butter mixture, stirring to combine.
  • Pour melted butter mixture over dry ingredients, mixing thoroughly.
  • Spread on prepared baking sheet, pushing down firmly.
  • Bake for 20 minutes or until light brown with crispy edges.
  • Cool for one hour before storing in an airtight container.

Notes

Net carbs: 8g

Naturally low-carb & gluten-free

Nutrition

Calories: 388kcal | Carbohydrates: 14g | Protein: 14g | Fat: 33g | Cholesterol: 14mg | Sodium: 44mg | Fiber: 6g | Sugar: 5g


Please note that the nutritional information may vary depending
on the specific brands of products used. We encourage everyone to check specific
product labels in calculating the exact nutritional information.

Peanut Butter Granola Recipe

Source: diabetesdaily.com

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